Routine inspection·September 19, 2023

On 09/19/2023 at 10:20 AM, a required 1-year inspection is being conducted as a compliance review. Licensing Program Analyst (LPA) Susan Brewer, was greeted by Director Anna Cruz, and granted entry to tour the infant center, inside and out. The following was observed: Days/Hours of Operation: Monday \342\200\223 Friday, 7:30 AM to 5:30 PM. Rooms 3AB, 4A and 4B; 2 designated outdoor activity areas are located on the South and West end of the building. The inspection consisted of reviews of the following domains: Food Service; Reporting Requirements Physical Plant; Care and Supervision; Children Records; Staff Records; Staffing Ratio and Capacity and Personal Rights. The inspection found the facility to be in compliance in these domains, except as noted on the LIC809-D. The licensee is asked to update the following documents, if applicable, and submit to licensing within 30 days if changes have been made: Please submit updated forms by 10/19/2023. 1. LIC 500 Personnel Report, 2. LIC 610 Emergency & Disaster Plan 3. Parent Handbook/ Program Curriculum/Admission policies and procedures/ fee schedule (only if changes have been made) 4. LIC 309 Administrative Organization 5. LIC 308 Designation of Administrative Responsibility The following items have been posted and are updated where necessary: License; Emergency Disaster Plan (LIC610) and Earthquake Preparedness Checklist (LIC9148) Parent\342\200\231s Rights Poster (PUB393); Personal Rights (LIC613A); Child Car Seat Law; Menu \302\267 The facility is operating within the terms of the license on 09/19/2023 \302\267 Facility is clean, safe and sanitary and in good repair. \302\267 Appropriate supervision and Ratios were met during this inspection. LPA conducted a census of 17 children, supervised by 7 teachers. \302\267 A fully charged fire extinguisher (2A:10BC) was observed. A smoke detector and carbon monoxide detector were present and tested by the Licensee during this inspection. \302\267 Rooms and activity areas are physically separated from other components. \302\267 Rooms are equipped with age-appropriate furniture and equipment in good condition. \302\267 Uncontaminated drinking water is provided in both the indoor and outdoor activity areas by public water supply and filtered water by tap water, fountains and for infants there is a water filtration system installed in Rooms 3AB. \302\267 Napping equipment is sufficient for capacity and meets licensing requirements. \302\267 Rooms are clean and free of hazards on 09/19/2023. \302\267 Materials and surfaces accessible to children are toxic free. \302\267 No weapons stored at the facility. \302\267 There are no bodies of water present on 09/19/2023. All wading pools or similar product must be emptied immediately after use and stored in an upright position. \302\267 Medications are stored where inaccessible to infants: Located at the front reception, in a locked box. \302\267 Center is equipped to isolate and care for any child who becomes ill during the day. The director\342\200\231s office will serve as an isolation area until parents are able to pick up the child. The facility will temporarily designate 1 of 3 staff restrooms, close to the director\342\200\231s office for children who become ill. \302\267 Toxins are locked and Hazards are stored where inaccessible to infants. \302\267 Toileting area was observed to be safe, sanitary and in operating condition. \302\267 Outdoor play area is physically separated by appropriate fencing and free of hazards. \302\267 Outdoor activity areas are supplied with age and size appropriate equipment in good condition. \302\267 There is sufficient cushioning material under high climbing equipment, swings, slides and similar equipment: LPA observed 2 designated outdoor activity play areas, each having natural grass and rubber turf to cushion a fall. \302\267 Measures are taken to keep the facility free of flies, other insects and rodents, with quarterly service. \302\267 Food preparation area is clean and free of vermin on 09/19/2023. \302\267 Food is stored appropriately and protected from contamination. \302\267 All storage containers for solid waste have tight-fitting covers that are kept on, and in good repair \302\267 Individual feeding and Infant needs and service plans were reviewed and are complete for each individual infant. \302\267 Infants up to 12 months shall have a sleeping log as required with documentation of date, name, time of 15-minute check and staff initials: During the tour of the infant napping room, LPA observed 5 of 6 infants present and napping, however LPA was only able to verify a sleep log for 1 out of the 5 children napping; 2 of 6 infant children present were missing LIC9227 Infant Sleep Plan on file and 2 of 6 infant children present and enrolled as of 01/2023, did not have updated 9227 Infant Sleep Plan on file. \302\267 Infant files were reviewed and are NOT complete, due to missing the above mentioned missing 2 infant sleep plans and sleep logs for infant children. \302\267 Sign in/Sign out record was reviewed and meets regulation requirements on 09/19/2023. The licensee uses the Child Plus, software program for electronic sign-in/out. In the event of an emergency, the licensee has developed a sign in/out sheet to track wet signatures. \302\267 A Staff member is present with current Pediatric CPR/First Aid which expires on 08/2024 \302\267 Opening and closing staff member\342\200\231s CPR/First Aid expires on 03/2025 \302\267 Director completed Health and Safety Training on 11/28/2021. \302\267 Staff qualifications and files were reviewed and are complete on 09/19/2023. \302\267 Staff have received on the job training for housekeeping, sanitation and universal health precautions. \302\267 Documentation of fire & earthquake drills to be conducted every six months: Last drill on 09/15/2023 from 9:31 AM to 9:35 PM, with 13 children present. \302\267 Documentation of Lead Testing is on file: for 05/16/2023 with a correction for action lead exceedance. A review of staff records on 09/18/2023 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. The Licensee was informed of their reporting requirements and is provided with the Regional Office\342\200\231s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov , Licensee was informed of the Department has inspection authority per Health and Safety Codes. AB2370 \342\200\223 Lead Exposure, day care facilities, effective January 1, 2019 \342\200\223 The bill requires that all Child Care Centers, operating in a building constructed before January 1, 2010, shall have their drinking water tested for excessive lead levels, on or after January 1, 2020, but no later than January 1, 2023. Child Care Centers must thereafter test their drinking water every five years after the date of the initial test. AB605 \342\200\223 Child day care facilities, birth to school-age license; Effective January 1, 2021 AB2960 \342\200\223 Child care and development services, online portal \342\200\223 Effective June 20, 2022 - This bill requires the State Superintendent of Public Instruction (SSPI), within the California Department of Education (CDE), to develop and post on CDE's website a comprehensive child care and development services online portal for families and providers by June 30, 2022. Please subscribe at www. childcareadvocatesprogram to receive Department updates. They will be sent directly to your e-mail account once you have set up an account. Duty Officer is available to answer questions Mon. \342\200\223 Fri. at 1-844-LET-US-NO (1-844-538-8766). This facility provides Incidental Medical Services \342\200\223 IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children\342\200\231s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions ab out Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm For CCCs: Incidental Medical Services (IMS) policy was discussed Facility representative was reminded that all adults 18 and over living or working at the facility, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. LPA Susan Brewer, discussed the safe sleep regulations with Director Anna Cruz, and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov . For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process . Deficiencies cited this visit LIC809D Type B violation. A civil penalty was cited/not cited this visit A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director Anna Cruz